급성 약물중독 환자에서 위세척의 의료법학적 고찰 -대법원 2005.1.28, 2003다1419 판결을 중심으로-

배현아,Bae, Hyun-A 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1

Gastric lavage is now known to be ineffective, unnecessary or hazardous in some circumstances where it used to be performed as a routine. This article concerns the medico-legal aspect of forced gastric lavage. The Supreme Court 2005.1.28, 2003da14119 is the case where a patient, who ingested the organophosphate insecticide to attempt suicide and refused lavage. At first we discuss the effectiveness or hazards of lavage because a very high degree of proof -of negligence, not error of clinical judgment - would be required. Lavage, with or without the informed consent, performed negligently which result in harm could, of course, give rise to a claim in negligence. A doctor might also be held negligent in failing to perform an act which he/she had a duty to perform.

다이설피람-에탄올 반응에 의한 저체온증 1례

배현아,어은경,Bae, Hyun-A,Eo, Eun-Kyung 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1

Disulfiram (tetraethylthiuram disulphid) is used in the treatment of chronic alcoholism since it causes an unpleasant aversive reaction to alcohol. It works by inactivating hepatic aldehyde dehydrogenase, leading to pronounced rise in the acetaldehyde concentration when ethanol is metabolized. Acetaldehyde causes alcohol sensitivity, which involve vasodilation associated with feeling of hotness and facial flushing, increased heart rate and respiration rates, lowered blood pressure, nausea, headache. One of its metabolites, diethyldithiocarbamate (DDC) can inhibit the enzyme dopamine $\beta$-hydroxylase (DBH), this may account for the profound refractory hypotension and hypothermia seen with the disulfiram-ethanol reaction (DER), resulting from norepinephrine depletion. This report is presents the case of a patient we met, who presented with hypothermia caused by the disulfiram-ethanol reaction, and along with a brief review of the subject.

성희롱 피해자 보호를 위한 법적 조치 강화 방안 -건강권 보장 관점의 적용-

권문영 ( Kwon Mun-nyoung ),강민아 ( Kang Min-ah ),배현아 ( Bae Hyun-a ) 제주대학교 법과정책연구원 2016 法과 政策 Vol.22 No.2

This study examines issues, heretofore neglected, which have negative impacts on the health of victims of sexual harassment in South Korea. We review the current status of legal and institutional measures inteded to support victims in their recovery from sexual harassment, as well as the available assistance in he form of financial compensation. At the outset, in order to bring about increased attention to this issue, this study reviews current South Korean legal provisions, observes the extent to which these provisions actually overlook damage to victims’ health, and furthermore, how current practices aggravate damages to the victims. Next, after reviewing the European Union’s measures, as upheld by its member states, for the prevention of sexual harassment, the protection of its victims when it does occur, and corroborating regulatory health reports, this study lays out its proposed recommendations for the South Korean system. As for the improvements of measures to protect the victims of sexual harassment, first there needs to be a legal effort to define sexual harassment as a sub-category of harassment. Damage caused by the sexual harassment not only consists of mental and physical health violation but also additional damage caused by the act of bystanders and bullies blaming the victim rather than the perpetrator. Also the incident evokes violation of victim’s labor rights and their rights to learn where their lives become unstable. However, currently, Korea lacks a legal basis to protect such extensive damage of the victims. Therefore, by providing a legal basis for regulating the harassment is very effective in guaranteeing the right to health in a reactive approach to health damage caused by sexual harassment and a proactive preventive measure to ensure a safe living environment. Second, is to introduce the ancillary health system such as providing a therapeutic consultation and a leave system. In the case of sexual harassment, the moment when the violation happens, it causes both mental and physical health damage and there is a high chance of additional damage that can be caused by the community members where the victim resides. Thus providing a therapeutic consultation with the expert, separating victim and offender, and if the victim wishes, keeping the victim away from the community where the sexual harassment occurred is a way which can minimize other various damages. Thirdly, there is a need for expanding the criteria of injury in an industrial accident as a psychological trauma and comprehensively expanding the range of subject to vocational trainees, people who have applied for the position and employees whose contract has been terminated. Lastly, there is a need to actively raise issues about the structure of hierarchical gender system which perpetrates sexual harassment in Korea to create a healthy living environment where it could prevent the occurrence of sexual harassment.

한국무용의 원류(原流)와 조형예술

배현아 ( Bae Hyun-a ) 한국무용연구학회 2018 한국무용연구 Vol.36 No.3

과거로부터 전래되는 조형예술은 소중한 문화유산이자 그 시대의 미감(美感)을 가장 잘 반영하고 있는 예술의 결정체이다. 한국 무용사 연구의 측면에서도 시대별 무용학적 도상(圖像)을 품고 있는 작품들에 대해 고찰하는 것은 단순한 사료적 가치 그 이상의 의미를 지닌다. 그 중 삼국시대를 대표하는 조형예술인 <고구려고분벽화>, <백제대향로>, <신라토우>에는 각 국의 예술성을 대변해 주는 독창적인 정서와 미감이 고스란히 담겨 있다. 이들에게선 이 시기 행해진 무용의 형태, 종류, 취향 등을 나름의 미적 감각으로 상징성을 부여한 후 도상으로 표현한 면모도 구체적으로 살필 수 있다. 이러한 소통과 공감대의 형성은 당시에도 무용이 단순한 행위예술에 국한된 것이 아니라 종합적인 상징체계를 갖추고 있었음을 증명한다. 그 결과 기록할 수 없다고 여겨지는 무형(無形)의 예술혼이 유형(有形)의 상징체계와 만나서 오늘날 우리가 그 실체를 확인할 수 있는 것이다. 특히 그 소통의 관계에서 조형 예술가들의 역할이 상당히 중요하게 작용했는데, 그것은 동적이고 연속적인 무용의 표현행위와 복잡한 전달 과정을 하나의 정적인 도상 속에 함축적으로 표현한 예술적 성취도에 기인한다. 이 고귀한 노력이 바로 모든 이가 공감할 수 있었던 당시의 대표적인 상징인 동시에 시대미감이 시대교감(交感)으로 발전하게 된 깊은 상관성의 핵심이라 할 수 있다. 이를 통해 한국 무용의 역사와 특질에 대한 연구에 있어 조형예술의 가치는 더욱 분명해 짐을 알 수 있다. 나아가 통일신라시대에서 조선시대에 이르기 까지 전래되는 많은 조형예술에서도 동시기 무용과의 교감을 도출할 수 있는 도상들의 범위는 상당히 확대 될 여지가 많고 그러한 융합 학문의 전개가 본 연구를 통해 확산되기를 기대한다. Goguryeo’s murals in ancient tombs, Baekje’s large incense burners, and Silla’s clay dolls are works of formative art to represent the period of the Three Kingdoms. They reflect the original sentiment and aesthetic sense to represent the dance of the three kingdoms, respectively. They granted symbolism to forms, types, and tastes of dance performed during the era according to their own aesthetic sense and expressed them in iconography. The formation of this communication and bond of sympathy demonstrates that dance was not restricted to a simple performance art but had a total symbolic system. As a result, the invisible artistic spirit that was considered to be unrecordable met a visible symbol, which allows people to check the truth today. Formative artists played important roles, especially in communicative relations, and their important roles were attributed to their artistic achievement in the implicative expression of dynamic and continuous expressions, and their complex delivery process of dance in a single static iconography. This effort is the representative symbol of the times where everyone could sympathize and the core of profound correlations that made the aesthetic sense of the times develop into the communion of the times.

응급 환자 진료에서 설명 의무와 환자 사생활 보호 의무가 상충될 때의 대처

배현아 ( Hyun A Bae ),이석배 ( Seok Bae Lee ),장혜영 ( Hye Young Jang ) 한국의료윤리학회 2007 한국의료윤리학회지 Vol.10 No.1

This article provides guidelines for obtaining informed consent in medical emergencies. Obtaining consent from patients in the emergency room can prevent appropriate and timely access to their evaluation and treatment. While mentally competent adults always have the right to consent, whether or not a minor has the right to consent depends up his or her mental capacity. As such, there is room for flexibility concerning the legal age for informed consent. After a judgment is made on the patient`s capacity for consent, the urgency of the situation should be considered. If medical treated is needed immediately, it should be provided, even if the patient is a minor. When there is enough time for getting consent, a physician should try to obtain consent from a patient or legal surrogate.

119 구급대 이용의 적절성에 관한 연구

배현아 ( Hyun A Bae ),유지영 ( Ji Yeong Ryu ),어은경 ( Eun Kyung Eo ),정구영 ( Koo Young Jung ) 대한응급의학회 2004 대한응급의학회지 Vol.15 No.1

병원 전 응급의료체계에서 의료지도와 무면허의료행위

배현아(Bae Hyun A) 한국형사법무정책연구원 2009 형사정책연구 Vol.79 No.-

보건의료법제 하에서 정밀의료기술 연구와 적용 : 수집 대상 정보 관련 법제를 중심으로

배현아(Bae, Hyun-A) 원광대학교 법학연구소 2020 의생명과학과 법 Vol.24 No.-

정밀의료기술은 개인의 유전 정보, 임상 정보, 생활습관 정보 등을 분석하여 질병의 진단, 치료, 예측, 예방 및 관리를 위한 최적의 맞춤형 의료헬스케어 서비스를 제공하는 기술로 정의된다. 이러한 정의에 따라 정밀의료기술 개발을 위한 수집대상 정보는 유전 정보, 임상 정보, 생활습관 정보 등으로 구분되며 그에 따라 생명윤리법과 의료법, 개인정보보호법에 따른 관련 법제들의 규제대상이 된다. 또한, 정밀의료기술 개발을 위한 연구는 인간대상연구로 기관위원회의 심의 대상임과 동시에 연구 과정에서 가명처리 등을 통해 개인정보보호법에 의한 과학적 연구 특례 대상이 될 수 있다. 정밀의료기술을 적용하여 활용하기 위해서는 이러한 각 정보보호 관련 법제의 정합성을 확보하고, 정보보호와 정보 활용의 균형을 고려한 새로운 법정책이 필요하다. 정밀의료기술과 같은 새로운 의생명과학기술의 도입과 활성화를 위해서는 법률의 경직성을 극복하기 위한 보건의료법체계 상 변화가 필요한데, 구체적으로는 의료서비스 제공 주체 제한, 제공되는 서비스 내용의 한계 등을 극복할 필요가 있다. 또한 정밀의료기술을 적용하여 실제로 맞춤형 의료와 헬스케어 서비스를 제공하기 위해서는 수요자를 대상으로 한 사회적 합의와 충분한 정보 제공 과정을 통해 불확실성이 내재된 과학기술에 대한 대응과 위험관리 절차가 필요하다. 그래야만 기존 전통적인 의료서비스의 한계를 극복하고 정밀의료기술의 실질적인 활용이 가능해질 것이며 이를 통해 바이오산업의 경쟁력을 확보할 수 있을 것이다. Precision medical technology is defined as a technology that analyzes genetic information, clinical information, lifestyle information, etc. to provide personalized medical practice and healthcare services for diagnosis, treatment, prediction, prevention and management of diseases. The information to be collected for the development of precision medical technology is classified into genetic information, clinical information, lifestyle information, etc., and related laws according to the Bioethics and Safety Act, Medical Service Act, and Personal Information Protection Act are subject to regulation. Research of precision medical technology is categorized as human subject research by Bioethics and Safety Act and is subject to examination by the institutional review committee, and at the same time, it may be subject to scientific research exceptions under the Personal Information Protection Act through pseudonymization. In order to apply and utilize precision medical technology, it is necessary to secure the consistency of each of these information protection-related laws, and a new governance for considering both information protection and utilization. In order to applicate precision medical technology, changes in medico-legal system are needed to overcome the rigidity of the law. Specifically, it is necessary to overcome the limitations of the subject and the contents of the heath care service provided. In addition, in order to actually provide personalized medical and healthcare services by applying precision medical technology, it is necessary to respond to inherent uncertainty and risk management procedures through social consensus and sufficient information process for consumers. Only then will it be possible to overcome the limitations of traditional medical services and to make practical use of precision medical technology, thereby securing competitiveness of the biotechnology and heathcare service industry.

정신적으로 제약이 있는 자의 자기 결정권 보호를 위한 법제

배현아 ( Hyun A Bae ) 단국대학교 법학연구소 2013 법학논총 Vol.37 No.1

The term the mentally incompetent in Korean legal system, refers to persons categorized as mentally ill person by Mental Health Act or person with mental disability by Act on Welfare of Persons with Disabilities. The mentally incompetent may be restrained of personal liberty due to certain reasons such as involuntary hospitalization or protected by Framework Act on Social Security. The mentally incompetent may also be subject to social exclusion as well as receiving assessment on the degree of his/her risk in causing harm to himself/herself or others. Although psychiatrists are given a relatively high degree of discretion over assessment of mental capacity of the mentally incompetent, doctor`s discretion may also be restricted by patients exercising their rights to self-determination and the practice of informed consent process. The assessment of the mentally incompetent`s mental capacity is used as a basis for making decisions on whether the patient has the capacity to consent to treatment, and whether to allow restricting his/her right to self-determination. The assessment should cover medical standards of the necessity for treatment, the point of assessment, and continuity of the patient`s mental capacity. Informed consent should be secured in each process of medical practice including closed ward admission based on the conclusion of the mental capacity assessment. This dissertation examines the requirements of due process in Mental Health Act with regards to securing the right to self-determination of the mentally incompetent, and Adult Guardianship System in the revised Civil Code. The study then deals with the problems and issues to be taken into consideration in applying the systems mentioned above.

미토콘드리아 대체 기술 적용의 윤리적·법적 문제

배현아 ( Bae Hyun A ) 한남대학교 과학기술법연구원 2017 과학기술법연구 Vol.23 No.2

미토콘드리아 DNA 변이(mutation)로 인한 모계 유전 질병을 치료할 수 있는 미토콘드리아 대체(mitochondrial replacement)이 적용된다면 다음 세대로 전달될 수 있는 생식세포에 대한 유전자 조작, 부모됨과 부모의 수와 관련된 정체성의 문제, 미끄러운 언덕길 논리 등 이 기술이 인간의 존엄성을 침해한다는 윤리적 문제의 발생가능성에 대한 우려가 있다. 이 연구는 미토콘드리아 유전의 특성을 고려하여 기존 치료법이 적용될 수 없는 한계와 새로운 기술의 불확실성에 따른 위험의 문제, 적용가능한 과학적 근거 등에 대하여 살펴보았고, 이러한 기술을 적용하기 위한 국내 생명윤리 및 안전에 관한 법률 등과 같은 법제에서 생식세포에 대한 유전자 치료와 그에 대한 연구, 배아 및 태아를 대상으로 한 유전자 검사의 허용 여부, 미토콘드리아 기증 등을 검토하고 향후 이러한 미토콘드리아 대체 기술을 적용하기 위하여 고려하여야 할 법적 문제에 대하여 연구하였다. Inherited genetic disorders caused by mutated mitochondrial DNA are progressive and can cause a wide spectrum of severe health problems. Symptoms of these disorders can appear at any time from birth, on wide range of severity. There is no cure for these disorders. So new variations of IVF techniques are being developed that aim to replace damaged mitochondria by using part of donated egg from a healthy individual. But such techniques are not currently permitted for treatment use under Korean legislation. In this article, I reviewed the legal considerations arising from possible use of such techniques for treatment in the future. The ethical issues that it discussed include that implication of identity, gemline therapy, parentage of child, the status of the mitochondrial donor and the implication for wider society and future generations.